What are the responsibilities and job description for the Case Management Coordinator position at Medical Recruitment Strategies?
Job Title : Case Manager - Medicaid Long Term Care / Comprehensive Program
Position Type : Full-time, Monday-Friday (8 : 00 AM - 5 : 00 PM)
Position Summary :
We are seeking a dedicated and compassionate Case Manager to provide comprehensive healthcare management services for Medicaid Long Term Care / Comprehensive Program enrollees. The Case Manager will facilitate appropriate healthcare treatment, manage healthcare costs effectively, and improve operational efficiency. The role will involve case coordination, support, and education to ensure positive healthcare outcomes for members.
Key Responsibilities :
Care Coordination & Case Management :
Coordinate case management activities for Medicaid Long Term Care / Comprehensive Program enrollees.
- Conduct comprehensive evaluations using care management tools and review data / information to facilitate decision-making and care planning.
- Implement and monitor care plan activities, ensuring progress is tracked and goals are met.
- Collaborate with multidisciplinary teams to achieve optimal healthcare outcomes.
- Provide support and guidance to members, ensuring they actively participate in their healthcare decisions.
Healthcare Advocacy & Member Support :
Utilize negotiation and motivational interviewing skills to secure appropriate services and engage members in their care.
Documentation & Compliance :
Ensure compliance with regulatory, accreditation guidelines, and internal policies while maintaining comprehensive case documentation.
Qualifications : Experience :
Minimum of one year of case management experience is required.
Education :
Bachelor's degree required (preferably in Social Work or a related field).
Skills and Attributes :
Working Hours :
